The Doctor Ignasi Jürgens, director medical of the Institut Català de Retina (ICR) and head of the Department of Retina and Vitreous, has designed a new surgical technique to the patients operated of cataracts that have a permanent or intermittent entrapment of the lens with the iris (pupillary capture).
Cataract surgery currently consists of phacoemulsification and aspiration of the contents of the cloudy lens and implant an intraocular lens inside its packaging (capsule). However, some patients that the capsule does not have a firm grip, as in cases of trauma, previous retinal surgery, pseudoexfoliation lens or Marfan syndrome, may need a special intraocular lens sutured due to lack of the capsular support. In some cases, part of this sutured lens can be moved above the iris and can lead to blurred vision, pain or increased intraocular pressure. Patients often go to the query referring deformity of the pupil, describing themselves as “cat’s eye”, causing therefore also an aesthetic problem.
Previously it had proposed various eye treatments. The use of eye drops can prevent the displacement of these lenses, being the only transitory effect. Also, had been proposed corrective surgical techniques, consisting of return to suture the lens or even remove it.
The doctors of the ICR have designed a very simple and slightly invasive skill consisting of the introduction of a very thin suture ahead of the lens and under the iris, what avoids the previous displacement and that the iris embraces the lens of effective and permanent form.
The design of this new skill has culminated with a scientific publication together with the Dra. Amanda Rey, specialist of retina in ICR, a magazine of great International impact “Journal of Cataract and Refractive Surgery”. It is the official magazine for members of the American surgeon’s society of cataract and refractive (ASCRS) and the European society of cataract and refractive (ESCRS) surgeons.
In the following link you can see the video of the new surgical technique:
You can read the original publication in the following link:
Simple technique to treat pupillary capture after transscleral fixation of intraocular lens
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